Aspiration Pneumonia: Magnitude and Frequency of the Problem

In many clinical settings aspiration is probably the most common cause of pulmonary pathology. To support this thesis, there is ample circumstantial evidence in patients undergoing general anesthesia, in bedridden, acutely and chronically ill patients, in trauma victims, and in patients with tracheostomies. In many instances aspiration is occult and difficult to diagnose. A high index of suspicion is necessary. Every physician should take it upon himself to instruct the medical and allied medical personnel caring for his patients in the many small techniques and maneuvers that will make aspiration unlikely.